THOMAS L FORNELLI - Pharmacist License in Illinois | # 049158273

THOMAS L FORNELLI

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158273

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

L

Last Name

FORNELLI

Business Name

THOMAS L FORNELLI

Original Issue Date

12/10/2004

Effective Date

02/25/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011